The Management of Pain in the Opioid-Dependent Patient

AbstractPurpose of ReviewThis review evaluates options for acute pain management in patients with a history of opioid dependence or misuse. This includes patients with chronic pain syndromes on continuous opioid therapy, as well as those with opioid misuse syndromes. It additionally investigates effective methods of communication with these patients about the risks and benefits of pain management treatment options.Recent FindingsAs a response to the opioid crisis in the USA, state medical boards and specialty societies are recommending a reduction in the availability of opioid prescriptions. Due to the increased recognition of the risks associated with opioids, patients are also looking for alternatives that can provide effective pain relief. There are specific challenges associated with caring for patients with acute or chronic pain and a history of opioid dependence.SummaryMultiple different options exist for treating pain in patients who either wish to avoid opioids or show signs of misuse or dependence. These include pharmacologic and non-pharmacologic interventions. Appropriate messaging about the risks and benefits of each option, and setting clear, reasonable goals of treatment will improve the patient ’s experience.
Source: Current Emergency and Hospital Medicine Reports - Category: Emergency Medicine Source Type: research